I'm really worried about my mom. She's had these enlarged supraclavicular lymph nodes for two years now. There are no signs of TB like fever, weight loss, or fatigue, and she's been managing her diabetes pretty well. There was nothing in the lymph nodes when tested for CBNAAT. The ultrasound showed they're quite large, and the biopsy results indicated granulomatous lymphadenitis. The document says TB needs to be ruled out, and the AFB stain came back negative. They also mentioned something about doing a TBPCR test to make sure it's not tuberculosis. The microscopic findings talked about some kind of granulomas but no caseous necrosis was found. TB PCR didn't show any sign of MTB or non-TB mycobacteria. I'm quite confused and worried about what all this means. Is this something serious? What should we do next?

Answered by 1 Apollo Doctors

Dr Shubham Chauhan

General Practitioner

MBBS
4+ Yrs

Consult Now

That could be non specific TB infection,might need complete course of ATT, visit physician for appropriate management

Dr. Shubham Suggests...

Consult a Oncologist

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Answered 04/07/2025

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Are mediastinal lymph nodes normal?

Normal mediastinal lymph noder measure less then 10 mm. Healthy lymph nodes can be larger, due to reactive hyperplasia from acute infection or chronic lung diseases such as emphysema or pulmonary fibrosis. However, enlarged lymph nodes are most worrisome for a pathologic process such as lymphoma, malignant metastases, or sarcoidosis.

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my dad was diagnosed with stage 3 stomach cancer but he's feeling okay right now. what are the treatment options at this stage - can he still have surgery or is chemotherapy the main route? also how good are the survival chances if he's currently doing well?

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Zofer contains Ondansetron,it prevents vomitings,and its dose available is 4mg and 8mg,200mg is not available

Answered by 1 Apollo Doctors

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